141st APHA Annual Meeting

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288031
Spatial analysis of diabetes mortality in Mississippi

Tuesday, November 5, 2013

Xueyuan Wang, MPH , School of Health Sciences, College of Public Service, Jackson State University, Jackson, MS
Marinelle Payton, MD, PhD, MPH, MS , School of Health Sciences, College of Public Service, Jackson State University, Jackson, MS
Background: Ten years ago, Mississippi ranked in the middle of the United States in diabetes mortality, whereas today, diabetes is the 6th leading cause of death in the state, ranking No.2 in the country. Spatial analysis of geographic areas representing diabetes mortality have not been examined in Mississippi.

Objective: To identify counties in Mississippi with increased diabetes morality from 1990s.

Method: Ten-year average diabetes morality data by county for 1990s and 2000s were generated from the Mississippi Statistically Automated Health Resource System. Indirectly Standardized Mortality Rate was used for counties with deaths less than 20. ArcGIS 10.1 was used to identify counties with 20% to greater than 200% increase in diabetes mortality.

Results: Thirty-four counties in the North, West and South borders of the state showed an increase in diabetes mortality > 20% from 1990s. Twenty-two counties in the Northwest and South areas increased > 50%. In addition, counties in the Delta region showed an increase from 100% to > 200%.

Conclusion: There was a significant geographic difference in diabetes mortality across Mississippi. The data spatially displays counties that have contributed to high mortality rates. The results demonstrate the need for community-based diabetes prevention programs in these areas.

Learning Areas:
Administer health education strategies, interventions and programs
Biostatistics, economics
Epidemiology
Program planning
Public health or related research

Learning Objectives:
Demonstrate geographic distribution of diabetes mortality in Mississippi Explain data quering in ArcGis 10.1

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: It is my class project during GIS class. I designed the study and did analysis.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.